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  1. Narrow Complex Tachycardia.

***) Each of the following may be useful in the treatment of paroxysmal supraventricular tachycardia, except:

  1. Atropine

  2. Digitalis

  3. Beta-blockers

  4. Verapamil

  5. Carotid sinus massage

Answer: A* Atropine

  1. Broad Complex Tachycardia.

***) All of the following drugs may be used in the treatment of acute ventricular tachycardia, except:

  1. Digoxin

  2. Lignocaine

  3. Procainamide

  4. Flecainide

  5. Bretylium

Answer: A* Digoxin

***) All of the following drugs may be used to treat ventricular tachycardia, except:

  1. Lignocaine

  2. Amiodarone

  3. Verapamil

  4. Phenytoin

  5. Procainamide

Answer: C* Verapamil

***) Recognized causes of ventricular extrasystoles include all of the following, except:

  1. Hypokalemia

  2. Beta blockers drugs

  3. Digitalis

  4. Quinidine

  5. Tricyclic antidepressants

Answer: D* Quinidine

  1. Atrial Fibrillation.

***) All of the following are causes of atrial fibrillation, except:

  1. Ischemic heart disease

  2. Rheumatic heart disease

  3. Digitalis

  4. Thyrotoxicosis

  5. Pneumonia

Answer: C* Digitalis

  1. Heart Failure.

***) All of the following are features of left ventricular failure, except:

  1. Orthopnea

  2. Peripheral edema

  3. Pulsus alternans

  4. Bilateral basal crepitations

  5. Kerley B lines on chest X-ray

Answer: B* Peripheral edema

***) Signs of left ventricular failure include all of the following, except:

  1. Third heart sound

  2. Triple rhythm

  3. Pulsus alternans

  4. Bilateral basal crepitation

  5. Gross liver enlargement

Answer: E* Gross liver enlargement

***) Signs of left heart failure include all of the following, except:

  1. Gallop rhythm

  2. Basal crepitation

  3. Pulsus alternans

  4. Hepatomegaly

  5. Displaced and sustained apical impulse

Answer: D* Hepatomegaly

***) A 50 years old male who was seen in the casualty complained of sudden onset severe left anterior chest pain radiating to the left arm. It was not relieved by sublingual nitrates. He was short of breath; frothy blood was coming out of his mouth. He was hypotensive, cold, cyanotic and profusely sweating. There were diffuse bilateral wheezes and basal crepitations on chest examination. The heart sounds were soft and there was third heart sound, but there were no murmurs. Patient suffering from:

  1. Acute bronchial asthma

  2. Angina pectoris with acute bronchial asthma

  3. Acute pulmonary edema secondary to myocardial infarction

  4. Acute viral pneumonia with pleuritic chest pain

  5. Dissecting aneurysm

Answer: C* Acute pulmonary edema secondary to myocardial infarction

***) Crepitations which are late inspiratory and unchanged with cough are typical of: Q2012

  1. Pneumonia

  2. Lung fibrosis

  3. Pleural effusion

  4. Pulmonary edema

  5. Subcutaneous emphysema

Answer: D* Pulmonary edema

***) Pulmonary edema may complicate all of the following, except:

  1. Diuretic therapy

  2. Rapid withdrawal of air from pleural cavity

  3. Bums

  4. Radiotherapy of the chest

  5. Septicemia

Answer: A* Diuretic therapy

***) Pulmonary edema is caused by all except:

  1. Fallot Tetralogy

  2. Acute glomerulonephritis

  3. Aspiration of hydrocarbons

  4. Left to right shunt

  5. Hypervolemia

Answer: E* Hypervolemia